ADVANCED VASCULAR AND WOUND CARE PC NPI 1962293084

NPI Information

  • NPI: 1962293084
  • Provider Name: ADVANCED VASCULAR AND WOUND CARE PC
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Organization
  • Address: 104 JOSIE RUN
    PRATTVILLE, AL
    ZIP 36066
  • Phone: (334) 659-4717

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NPI Details

ADVANCED VASCULAR AND WOUND CARE PC is a vascular surgery surgery in Prattville, AL. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. ADVANCED VASCULAR AND WOUND CARE PC NPI is 1962293084. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

104 JOSIE RUN
PRATTVILLE, AL
ZIP 36066-362
Phone: (334) 659-4717

The provider's authorized official is Justin Parden .
The authorized official title is Owner/ao and has the following contact phone number (334) 659-4717.

The enumeration date for this NPI number is 5/16/2025 and was last updated on 5/16/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineNo
22086S0129XSurgeryVascular SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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